HomeMy WebLinkAboutPermit Mechanical 1984-3-6
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLI*TI FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: owner of record; Ocontract purchaser; Dauthorized agent with evidence of authority attached.
I f:.:.rther certify that any and all work performed ha be done in accordance with the Ordinances of Lane County and the Laws of the Stato of Oregon
pertaining to the work described herein, and that NO OCCUPANCY ""ill be made of any structure ""ithout the permission of the Building Division. I fur-
ther certify that registration ""ith the Builder's' Board is in full force and effect as required by ORS 701.055, that if exempt tho basis for exemption
is noted hereon, and that only subcontractors and employees ""ho are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
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- - NAME: f'please print) SIGNATURE
FOR OFFICE USE ONLY
Application!' ~ ~_ ~J /
Perm1 t # 0~t' -, ~ I"f '7
OTWO copies of Plans
DThree Copies of Plot Plans
UMech/Plumbing Checklist
o Legal Interest Document
o Plan Check Info Sheet
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PROpOSED USE OF PROPERTY'
,BlReside.ntial D Industrial
D Commercial D Public.
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DATE I
READ THIS SECTION CAREFULLY. ~U~~ORIZATION HAS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: Zone /0/ ff Partition # Parcel #
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Date: ~ ~
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CONDITIONS~ / ~
Parcel SiZ~ ~
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o FLOODPLAIN:
In flood hazard area? 0 No 0 Yes, SEE ATTACHED SHEET.
Date:
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Recor'd Issued? DYes 0 No
Maximum Depth
of Trenches
o SANITATION, S. 1. *
B. P. fI
COH.\1ENTS:
Ix- PLANS EXAMINATION, Type -. Group-
1" CO~lENTS'~-' f?7e-~~~d M:5I1P~
Date: /
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Date:
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TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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TOTAL FEE r.A'""T""
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per o~f1"~(pu,,J ~,!/,~.rft
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
Sq, Ft,
Fixed Feel
Unit Cost
Floodplain Fee
Subsurface Fees
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74
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Building fee
Uech/Plmbg Fee
plans Check Fee
S ta te Surcharg~
DEQ Surcharge
C 14-25
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE. AND/OR OTHER
REMEDIES ALLOWED BY LAW,
WHEN READY FOR INSPECTION. CALL 687-4065, A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
TION REQUESTS MUST BE GIVEN. Have the following informatfon'ready: permft numher,:jOD address, type'
of inspection, when it will be ready, your name and phone nUmber, and any special directions to site.
BUILDING DIVISION,
REQUIRED INSPECTIONS,
'.
1.
Founda ticn Inspection: To be made after trenches a.re .excava.ted and forrTls_ er,ec't;ed,-and when all-
materials tor the foundation are delivered on the job. Where concrete~from a'central mixing
plant (cormnonly ter~ed "transit mixedtl) is to be u~ed, materials ne_~d..,n<?t pe on ~h~' j.o.~.
Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
service equipment, condui t,. pIPIng accessories, and other ~E..~J.llary equipment i terns are__in
place bu~ bef~re. any concrete is. poured or flo,or, .sheathing\install~d, .incIUd~ng ~he subfloor.
Framinq & Insula tion - Inspections: . To' be made after the roo~., all framing,. f ire blocking, - and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
elect:ical and plumbing are approved. All wal~ insulation- a~~.y~por barr~e~ ar~ in.place~
Lath and/or Gypsum Board Ins?ection: To be made after all lathing and gypsum board, interior
ari'Cl"exterIOr, is in place})Ut betore any plastering is applied. and before gypsum board, joints.
and fasteners are taped 'and finished.
2,
3,
4.
5. Final Inspection: To be made after the building is comple~~.and before occupancy.
APPROVAL REQUIRED. No work shall be done on any part of the building.or structure beyond the point
indicated in each successive inspection without first obtaining the approval of the.building official.
Such approval shall be given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required. ~-
NOTE: Al~ building p~rmits require inspec~io~s ~or the work ~uthorized, such as b~~.not~~m~ted to:
A. Block Wall: To be made ~fter reinforcing is in place, but ~efore an~'grout is poured. This
inspect~on is required for each bond .beam pour. There w~ll be no approval until the plumbing
an~ electrical inspections have been made and approved. 'j
B. Wood Stove: To be made after. completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and t~e manufacturer's installation instr~ctions.
C. Mobile Home: An inspection is required after the mobil~ home is connected to an approved
sewer or ,septic syst~~.for s_e!:b~ck requir.ertiep.t.s,: blo.cking,_ f09~ing .c.o.nne_ctio_n, tJedowns,
skirting, and plumbing connections.
1. . Footings-and piers to comply with State foundation requirements for mobile homes or as
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS. OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST, THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
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SUBSURFACE AND. ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1.
2,
Permits shall be effective for one year from, the: date'~f issuance:
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Upon completing the construction for which a.permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation. record form. The Department shall inspect the construction to determine If it
complies w~th the~rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certifica te of satisfactory completion to the permi tl' holder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5 '
50'
Drainfield
10 '
10'
.101
100'
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AC~ITY INFORMATION-SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1 ~\t(I.e..S t L'llf\olo.... ~c...ke.-t.-t
PERSON MAKING REQUEST
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MAILING ADDRESS ~
S'f1"; ^~~.~\d o~ 0(1 If.l 8
CIT~ ' STATE ZIP CODE
i.?-lr le'133
BUSINESS TELEPHONE # HOME TELEPHONE #
2 . PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
s;.'X VY\. e....
PROPERTY OWNER
:" elL m e-
MA I LI NG ADDRESS
.<" OL Y'r\ e....
CITY
STATE
BUSINESS TELEPHONE #
HOME TELEPHONE #
(from tax maps in Department of Assessment and Taxation
or from tax statement) .
()Z st. 5
RANGE SECTION
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
j7
TOWNSHIP
4=-'fi;6()
TAX LOT S OR PARCEL #
TOWNSHIP RANGE SECTIDN
TAX LOT{S) OR PARCEL #
TOWNSHIP RANGE SECTION
TAX LOTtS) OR PARCEL #
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
LOT
· 6 DIRECTIONS TO SITE:'!- ,\.0 u.J~ yV\.,C-.\t:!.. e /'\'"2" e...... \\1l.<...l '::)
300\.. ~" \ \) lL v-JO-,-\ a.~-\-e. i<- ( '1~ h. <2,-t, O'-V'\.
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** FOR STAFF USE ONLY **
NUMBER
DATE
ZONE/LAND USE:
BY: DATE:
TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
.Ia'ne county
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ZIP COD~
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LANE COUNTY DEPT ENV MGT RECEIPT I 62384 DATE 030684
tAPPLICANT TACKETT, LINDA ADDR 8111 MCKENZIE HWY, SPRINGFIELD. ORE
~ .I'LI 1702363000200 SUElDIV LOT ElLK.
~EW ElLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IElLDGS 001 PHONE 726 6733 II
OWNEF( NME .' ADDR
. CODE APPL NO ACTION DESCRIPTION S(~ FT UNIT COST VALUATION FEE DAY,~.
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, 'MECH
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,l MECH LC 62384 WS
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NO. F I XTUF(ES :
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CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
15.00 EACH =
41.
651.
.
19.00
4.75
0.76
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24.51 CK .
EST. COMPLETION tATE
TOTAL FEE**
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SLIP
6ne county
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APPLICATION # 0623-84
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LOCATION 8111 McKenzie Hwy., Spfd.
LiI.!d_a_,!ac~ett '__~_"_____ _'_'_ NAME
8111 McKenzie Hwv. ADDRESS
Snr~Jlqffpln_ Oppqnn q7477
ZTPCODE
The above application is being held for the following reasons:
1) Your ication form states that you are unsure of the construction
or type 0 imney that exists.
Carefully estab1is construction and size the existing
chimney is and how i ,8 supported. Provide a sketch of the construction
including showing hm; t chimney connector. pipe from the stove to
the chinmey is 'thimh1ed' to the masonry of the existing chimney.
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Include all dimensions.
Rog;er McGuckin
SIGNATURE
AVAILABLE BY APPOINTMENT ONLY (NO WALK-INS)
03-22-.84
DATE
687-4061
PHONE
HOURS
This application will be held until 04-05-84 If the information required
above has not been furnished by that date your application will be cancelled.
RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-~OGl
LAI
r.ollNTY
I TRS# \'l-08--3\.C),S\d-o'D
OWNER'S NAME '
~f'CV'Q[1 +' A\~(). ~CU')..o oW
CONTRACTOR'S NA~ ..
.
.
T~CTION RECORll
,
DATE ISSUED: 3 \rl~\ 5\4 PERMIT#
PHONE NUMBER
'7~ 1.(1 -In"1 ::~:<
PHONE NUMBER
~z,9" f)f
SET BACK REQUIREMENTS # PLUMBING FIXTURES
CL, FRONT CL, SIDE INTERIOR REAR
WO~K AUTH~RI~D BY PERM.IT
_ ~^ )t)~Q .2:>~\1'.J) )
DIRECTIO S TO SUE "2 ~ ...l.. "'t>
llv\.r lY\>.,}-.+-\~, 'lJ (N\U.}'{)A~-p,O ~AJ '\9 ST. ~
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S~mRES~(\f\~ ~.~ \-, A
FOOTI1G ~ F~U~DA\IdN 131' IMb~@ HZl8L~~~l^ 0 ~~ShCTION
Approved Date IC~~e~tion U~ate Inspector
UNDERSLAB PLBG.[] IUNDERFLR PLBG.[] INSPECTION
Approved Date ICorrection Date
SLAB INSPECTION
Approved Date
PLUMBING GROUNDWORK INSPECTION
Approved Date ICorrection
ICorrection
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date ICorrection
FRAMING INSPECTION
Approved Date
ROUGH MECHANICAL
Approved Date
ICorrection
/Correction
'INSULATION I VAPOR BARRIER INSPECTION
Approved Date ICorrection
LATH I GYPSUM BOARD INSPECTION
Approved Date /Correction
FINAL MECHANICAL 0 IWOOD STOVE ~
Approved ./2J/ DateLj-/1 ~fl'f ICorrection
FINAL PLUMBING INSPECTION
Approved Date ICorrection
Date
Inspector
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector \k, we:... ./
" -
Date
Inspector
'FINAL INSPECTION BUILDING [] IMOBILE HOME [] lAG PLACEMENTO
Approved Da te ICorrecti on Date
CERTIFICATE OF OCCUPANCY []
Approved Date Insp.
M74-197
Inspector
TEMPORARY CERTIFICATE OF OCCUPANCY []
Approved Date Insp.